CPG 97-039
A Randomized Trial to Implement the AHCPR Smoking Cessation Guideline
Anne M. Joseph, MD MPH Minneapolis VA Health Care System, Minneapolis, MN Minneapolis, MN Funding Period: September 1998 - August 2001 |
BACKGROUND/RATIONALE:
Among veterans, smoking is the single most important risk factor for preventable mortality and morbidity, and studies suggest a higher prevalence of smoking among veterans than the general population. The VHA has encouraged adoption of the AHCPR Guideline for Smoking Cessation, yet most hospitals have poorly developed smoking cessation programs. OBJECTIVE(S): The present study is designed to investigate the effectiveness of an organizational strategy to increase compliance with the AHCPR guideline. Short term goals of the study include increasing the rate of identification of smokers and increasing the delivery of brief smoking cessation interventions. Long term goals include reducing tobacco consumption among veterans. METHODS: Twenty VAMC’s with active primary care clinics have been randomly assigned to either control (usual practice; UP) or intervention (organizational support; OS) groups. The intervention hospitals receive staff training and site consultation; all hospitals will receive the AHCPR guideline. Rate of identification of smokers in the medical record, smoking cessation rates, provision of smoking cessation services (e.g., NRT, counseling), and costs of NRT will be determined via telephone interviews with patients, chart review, and electronic records. FINDINGS/RESULTS: We hypothesize that our organizational intervention will result in a higher rate of identification of smokers and delivery of smoking cessation services, as well as higher smoking cessation rates when compared to UP hospitals. Results are not yet available. IMPACT: We hypothesize that our intervention will lower smoking rates among veterans, thus decreasing veteran morbidity and mortality. External Links for this ProjectDimensions for VADimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.Learn more about Dimensions for VA. VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address. Search Dimensions for this project PUBLICATIONS:Journal Articles
DRA:
Substance Use Disorders, Health Systems
DRE: Epidemiology Keywords: Clinical practice guidelines MeSH Terms: Guidelines |